# MITTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194449082
- **Authorized official:** SHIFALI GARG (MEMBER)
- **Authorized official phone:** (206) 747-4030

## Contact information

- **Practice address:** 10025 19TH AVE SE, EVERETT, WA 98208-4275
- **Practice address phone:** (206) 747-4030
- **Mailing address:** 20103 136TH AVE NE, WOODINVILLE, WA 98072-8776
- **Mailing address phone:** (206) 747-4030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022